Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $208.93	Facility		$144.54	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $218.78	Professional		$95.50	$151.36	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $208.93	Professional		$91.20	$95.50	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $251.19	Professional		$177.83	$229.09	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $263.03	Professional		$190.55	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $263.03	Professional		$87.10	$173.78	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $389.05	Professional		$147.91	$257.04	$389.05